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3rd	
  Annual	
  OISE	
  Indigenous	
  Education	
  Network’s	
  
Indigenizing	
  Psychology	
  Symposium	
  
	
  
2013	
  REGISTRATION	
  FORM	
  
	
  
	
   	
  
Thank	
  you	
  for	
  registering	
  to	
  attend	
  the	
  3rd	
  Annual	
  OISE	
  Indigenous	
  Education	
  Network’s	
  
Indigenizing	
  Psychology	
  Symposium.	
  Please	
  complete	
  a	
  separate	
  form	
  for	
  each	
  individual	
  
attending.	
  If	
  you	
  have	
  any	
  questions	
  about	
  registration,	
  please	
  call	
  (416)	
  978-­‐0732.	
  
	
  
COMMUNITY/ORGANIZATION/INSTITUTION	
  
	
  
	
  
FULL	
  NAME	
  
	
  
	
  
ADDRESS	
  
	
  
	
  
EMAIL	
  
	
  
	
  
PHONE	
  NUMBER	
  
	
  
	
  
REGISTRATION	
  TYPE	
  (chose	
  one	
  option	
  ✓)	
  
	
  
• Academic/Practitioner/Professional	
  	
  $90____________	
  
	
  
• Student/Community	
  Member	
  $45____________	
  
	
  
Payment	
  Processing	
  	
  (Chose	
  one	
  option	
  ✓)	
  	
  
	
  
• Mail	
  via	
  Canada	
  Post	
  (enclose	
  registration	
  form)	
  ____________	
  	
  	
  
	
  
• In	
  Person	
  on	
  Day	
  of	
  Conference____________	
  	
  
(email	
  registration	
  to	
  suzanne.stewart@utoronto.ca)	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  
	
  
	
  
If	
  paying	
  in	
  advance,	
  please	
  make	
  cheque	
  payable	
  to	
  the	
  University	
  of	
  Toronto	
  and	
  send	
  
payment	
  to:	
  Indigenous	
  Education	
  Network,	
  Ontario	
  Institute	
  for	
  Studies	
  in	
  Education	
  252	
  
Bloor	
  Street	
  West,	
  7th	
  Floor,	
  Room	
  7-­‐191,	
  Toronto,	
  ON	
  	
  M5S	
  1V6	
  

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IEN Symposium Call Out

  • 1. 3rd  Annual  OISE  Indigenous  Education  Network’s   Indigenizing  Psychology  Symposium     2013  REGISTRATION  FORM         Thank  you  for  registering  to  attend  the  3rd  Annual  OISE  Indigenous  Education  Network’s   Indigenizing  Psychology  Symposium.  Please  complete  a  separate  form  for  each  individual   attending.  If  you  have  any  questions  about  registration,  please  call  (416)  978-­‐0732.     COMMUNITY/ORGANIZATION/INSTITUTION       FULL  NAME       ADDRESS       EMAIL       PHONE  NUMBER       REGISTRATION  TYPE  (chose  one  option  ✓)     • Academic/Practitioner/Professional    $90____________     • Student/Community  Member  $45____________     Payment  Processing    (Chose  one  option  ✓)       • Mail  via  Canada  Post  (enclose  registration  form)  ____________         • In  Person  on  Day  of  Conference____________     (email  registration  to  suzanne.stewart@utoronto.ca)                                                             If  paying  in  advance,  please  make  cheque  payable  to  the  University  of  Toronto  and  send   payment  to:  Indigenous  Education  Network,  Ontario  Institute  for  Studies  in  Education  252   Bloor  Street  West,  7th  Floor,  Room  7-­‐191,  Toronto,  ON    M5S  1V6